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◎Please fill out the “Appointment request” form and wait for the appointment confirmation email.
※If you do not speak Japanese, we use a translation application to communicate, diagnose and explain.
Appointment Request
【About Sakura Platinum Dental Clinic】

・Open:Everyday (12:00PM-5:00AM)
※For non-Japanese-speaking visitors, our available visiting hours are from 12:00 PM to 12:00 AM. If you can only visit after 12:00 AM, please provide three possible date and time options in the comments section.
・1min. walk from the Shibuya Station (Close to Shibuya HIkarie)
※If you do not speak Japanese, we use a translation application to communicate, diagnose and explain.
【Date / Time of your appointment】
・Filling out the form does not confirm your appointment.Your appointment will be confirmed when you receive confirmation by email.
・We will notify you about your appointment date and time via email.
・Advance reservations are required. Please visit the clinic according to the appointment confirmation email.
・Please make sure you have your spam and domain settings set to receive email from “sakurashika20170301@gmail.com “.
【Candidate Dates / Times】
・If you fill out the form on the day you want to visit, we may not be able to contact you in time.
・It will be easier to schedule an appointment if you provide a range of preferred visit times.
・Please answer with options for both the date and time.
※After filling out the form, you will receive an automatic reply. If you do not receive it, please check your spam folder. Also, adjust your email settings to ensure you can receive our emails from “sakurashika20170301@gmail.com “.
※If you haven’t heard from us in 48 hours after filling out this form, call us +81-3-6452-6588
Please bring with you

・Valid Photo ID
・A valid credit card or cash to make payment
・Information about travel insurance, if any
Payment options

We do not accept Japanese National Health Insurance.
For your convenience, we accept cash, and most major credit cards.
Please do not late for your appointment
Arrive too late, may not receive treatment
To ensure smooth treatment, we have set appointment times, so please do not be late.(If you are going to be more than 5 minutes late, please be sure to call us.)
If you are more than 30 minutes late, you may not be able to be receive a dental consultation.
Cancellation Policy(Reshedule)
11,000 yen fee assessed for every appointment missed or cancelled less than 24 hours in advance, unless there is a reasonable excuse.
If you do not show up for your appointment without prior notice after receiving our confirmation email regarding your reservation date and time, a cancellation fee will be charged, and you may be restricted from making future appointments.
If you need to reschedule, we may not always be able to accommodate your request. However, please contact us via the inquiry form as soon as possible once you are aware of the change.
We appreciate your cooperation in ensuring smooth dental care services.
Appointment Request
※You will be redirected to the Google Form for your appointment.
◎Please fill out the “Appointment request” form and wait for the appointment confirmation email.
※If you do not speak Japanese, we use a translation application to communicate, diagnose and explain.